Advisor Product, Medicaid Solutions

Role Description

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Gainwell Technologies is seeking an Advisor Product, Medicaid Solutions, to lead Medicaid claims-related product domains as part of the transformation of our core adjudication products. This role is for a product leader who can combine deep Medicaid domain expertise, modern product management practices, and executive-level influence on shaping platform strategy and turning complex payer and program needs into product direction.

The Advisor Product, Medicaid Solutions will own domain strategy and outcomes across one or more claims-adjacent domains, including:

• Member
• Provider
• Benefits
• Clinical
• Finance

Your role in our mission:

• Lead product strategy for Medicaid claims-related domains, translating member, provider, benefits, clinical, and finance needs into clear product outcomes and domain roadmaps.
• Shape the transformation of core adjudication capabilities by defining modern product direction, platform opportunities, and domain-level investment priorities.
• Develop a deep understanding of Medicaid program operations, claims workflows, regulatory and policy context, client pain points, market dynamics, and ecosystem shifts.
• Use product discovery, customer research, workflow analysis, data, and experimentation to validate problems, prioritize opportunities, and reduce delivery risk before large-scale build commitments.
• Partner with engineering, architecture, design, operations, implementation, sales, and client-facing teams to align domain strategy with feasible, scalable product execution.
• Frame ambiguous domain and platform decisions, evaluate tradeoffs, and bring recommendations forward with clear rationale, product economics, and business impact.
• Create and evangelize product narratives that help executives, delivery teams, and stakeholders understand the transformation vision and the why behind priority decisions.
• Define success measures for domain outcomes and use qualitative and quantitative insights to evaluate adoption, operational impact, user experience, and product performance.
• Identify new product opportunities within Medicaid claims and adjacent domains, including opportunities enabled by platform modernization, workflow redesign, automation, data, and interoperability.
• Coach and influence other product managers and cross-functional partners by modeling modern product practices and raising the quality of product decision-making.

Qualifications

• 9+ years of experience in Product Management, Software Development, Consulting, Technical Support, Business Analysis, and Data Analysis, with a proven ability to drive product strategy, innovation, and business outcomes.
• Healthcare industry experience required, including Medicaid or Medicare programs, with a strong understanding of payer operations, claims processing, regulatory requirements, and healthcare technology solutions.
• Deep expertise in Product Systems Design, Customization Strategies, and Integrating Software and Technology Solutions, with a strong understanding of Technology Architecture, Mainframe Environments, Scheduling Software, and Related Enterprise Technologies.
• Experience partnering with clients and stakeholders to translate business, technical, and data requirements into scalable product solutions, leveraging software development tools, methodologies, and best practices.
• Demonstrated strengths in Product Development Methodologies, Strategic Planning, Analytical Problem Solving, Decision Making, and Prioritizing Initiatives in Complex Environments.
• Experience with AI product use cases, solution design, and the application of artificial intelligence technologies to enhance business and product outcomes is preferred.

Requirements

• Fully remote opportunity with the option to work anywhere within the United States.
• Opportunities to travel through your work (0-10%).
• Willingness to work a flexible schedule to accommodate business needs and travel as required.
• Video cameras must be used during all interviews, as well as during the initial week of orientation.
• The deadline to submit applications for this posting is September 30, 2026.
• The pay range for this position is $86,800.00 - $124,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Benefits

• Generous, flexible vacation policy.
• 401(k) employer match.
• Comprehensive health benefits.
• Educational assistance.
• A variety of leadership and technical development academies to help build your skills and capabilities.